Individual
EDMUND BYRON WEBSTER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 539-1111
Mailing address
316 JULE DR, CHESAPEAKE, VA 23322-3614
(757) 793-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2017
Last updated
02/10/2022
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